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COURSE BOOK B.

INGGRIS II – PART 2

COURSE BOOK

B. INGGRIS II
(MATERIALS USED ONLY FOR INTERNAL CAMPUS)

PART 2

PRODI S1 KEPERAWATAN

Arrange By:
Nita Yuanita, S.Pd., M.Si.

Lectured by:
Drs. H. Yun Surtiana, M.A.
Nita Yuanita, S.Pd., M.Si.

STIKes Karsa Husada Garut


2021
COURSE BOOK B. INGGRIS II – PART 2

PROGRAM STUDI S-1 KEPERAWATAN

SEKOLAH TINGGI ILMU KESEHATAN KARSA HUSADA GARUT

Jl. Nusa Indah No.24 Tarogong Kaler, Kabupaten Garut, Jawa Barat

Telp. 0262-4704803 Fax. 0262-235946

RENCANA PEMBELAJARAN SEMESTER

(RPS)

Mata Kuliah Kode MK Bobot Semester Tanggal Penyusunan RPS Disusun oleh

B. Inggris II C506 2 SKS (1T,1P) V (lima) 10 September 2021 Nita Yuanita, S.Pd., M.Si.

Tim Pengembang RPS Koordinator Mata Kuliah Ka PRODI S1 Keperawatan SKHG

 Nita Yuanita, S.Pd., M.Si. Ttd


OTORISASI  Drs. H. Yun Surtiana, M.A.

Nita Yuanita, S.Pd., M.Si. Iin Patimah, M.Kep.

CPL-PRODI (Capaian Pembelajaran Lulusan Program Studi) Yang Dibebankan Pada Mata Kuliah

Lulusan Prodi S1 Keperawatan dapat memiliki kemampuan:

Mengetahui tentang konsep Bahasa Inggris II dalam Keperawatan

CPMK (Capaian Pembelajaran Mata Kuliah)


Capaian Pembelajaran
CPMK 1 Membaca dan menjelaskan instruksi medis dan/atau tim kesehatan terkait catatan medis pasien dalam bahasa Inggris

CPMK 2 Mengidentifikasi perintah/instruksi dalam percakapan bahasa Inggris di kelas atau simulasi seting pelayanan kesehatan

CPMK 3 Menulis/mendokumentasikan laporan kegiatan asuhan keperawatan yang diberikan ke pasien

CPMK 4 Berkomunikasi bahasa Inggris aktif dalam pembelajaran di kelas dan dalam simulasi pelayanan kesehatan

Mata kuliah ini membahas tentang integrasi empat kemampuan dasar berbahasa Inggris yaitu berbicara, mendengarkan, membaca,
Deskripsi Singkat dan menulis termasuk aspek-aspek tata bahasa dan kosakata kedalam ruang lingkup pelayanan dan pekerjaan keperawatan baik
dalam praktik klinik/komunitas maupun pada pembelajaran di kelas dan/ atau di laboratorium. Pada tahap lanjut, mata kuliah ini
Mata Kuliah mempersiapkan mahasiswa untuk bisa mendapatkan nilai skor TOEFL/ IELTS yang memadai untuk melanjutkan pendidikan ke jenjang
yang lebih tinggi atau bekerja di luar negeri.

Bahan Kajian/ BAHAN KAJIAN/ POKOK BAHASAN MK

Pokok Bahasan MK CPMK 1 1. Pengantar bahasa Inggris untuk profesi kesehatan

2. Review anatomi dan fisiologi manusia

3. Berfikir kritis

4. Catatan medis (medical record) pasien

CPMK 2 1. Lingkungan rumah sakit dan pelayanan kesehatan lainnya


2. Sistem pencatatan dan pelaporan kesehatan
3. Nursing Skills

CPMK 3 1. Sistem pencatatan dan pelaporan kesehatan


2. Pengkajian keperawatan pada pasien dan keluarga
3. Intervensi keperawatan

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COURSE BOOK B. INGGRIS II – PART 2

4. Dokumentasi asuhan keperawatan

CPMK 4 1. Pengantar bahasa Inggris untuk profesi kesehatan


2. Anatomi dan fisiologi manusia
3. Berfikir kritis
4. Lingkungan rumah sakit dan pelayanan kesehatan lainnya
5. Sistem pencatatan dan pelaporan kesehatan
6. Pengkajian keperawatan pada pasien dan keluarga
7. Intervensi keperawatan
8. Dokumentasi asuhan keperawatan
9. Kerjasama tim dalam pelayanan kesehatan

Metoda pembelajaran dilakukan secara Cooperative Learning dengan mengkombinasikan berbagai aplikasi untuk mengoptimalkan
kegiatan pembelajaran dalam bentuk daring diantaranya menggunakan aplikasi Whatsapp Group sebagai media live chat; Zoom
Meeting/ MS team untuk video conference pada pembahasan kajian yang memerlukan tatap muka; Google form untuk absensi,
Metode dan Media Pembelajaran
exercise maupun ujian UTS/ UAS serta MS. Power Point, MS. Word/ Pdf yang memuat gambar ataupun video explaination untuk
penyampaian materi sebagai pengganti LCD Proyektor, Papan Tulis dan berbagai media pembelajaran lain yang biasa digunakan
dalam pembelajaran di kelas.

Nilai Absolut Nilai Huruf Nilai Angka (Mutu)

86-100 A 4

81-85 A- 3,7

76-80 B+ 3,3

71-75 B 3,0

66-70 B- 2,7

61-65 C+ 2,3

56-60 C 2,0

Penilaian dan Pembobotan


40-55 D 1

<40 E 0

Penilaian akhir pada pembelajaran ini didasarkan pada aspek-aspek berikut:

a. Kehadiran : 10 %

b. Tugas : 10 %

c. Aktivitas : 10%

d. Skor UTS : 30 %

e. Skor UAS : 40 %

Pustaka Utama

 Ardiansyah. (2004). Let’s Speak English, Nurse!. Jakarta: EGC

 Djauhari, Imam D. (…). Mastery on English Grammar. Jakarta: -


 Grice, Tony. (2009). Everyday English for Nursing, 1st & 2nd ed.. Jakarta: EGC
 Murphy, Raymond. (1987). English Grammar in Use: A self-study reference and practice book for intermediate students .
Cambridge: Cambridge University Press
 Nursalam. (2010). English in Nursing-Midwifery Science and Technology . Jakarta: Salemba Medika
 Philips, Deborah. (2001). Longman Complete Course for the Toefl Test . NY: Longman
 Pramudya, Leo A. (2011). English for the Professional Nurses, Course Book 1 & 2. Jakarta: EPN Consultant
 Richards, Jack C. (1984). Person to Person. England: Oxford University Press
 Rizka, Haira, dkk. (…). English for Nursing: Practical English Conversation for Professional Nurses . Yogyakarta: Pustaka Baru Press

Pendukung:

 www.englishmed.com;

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COURSE BOOK B. INGGRIS II – PART 2

 www.englishclub.com;
 www.languageguide.org/english/vocabulary ;
 www.businessenglishsite/nursing_english1-2-3 ;

serta berbagai sumber yang dapat menunjang pembelajaran.

 Drs. H. Yun Surtiana, M.A. (YS)


Dosen Pengampu
 Nita Yuanita, S.Pd., M.Si. (NY)

Mata Kuliah Syarat -

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COURSE BOOK B. INGGRIS II – PART 2

8.1. ESTABLISHING A RELATIONSHIP

(GREETING & INTRODUCING)

Study the conversation below!

Dave : Its nice hospital, isn’t it?

Jane : Yeah… Really

Dave : By the way, my name is David Brian.

Jane : Glad to see you Mr. Brian, I am Jane Johnson.

Dave : Just call me Dave. By the way, where are you from, Jane?

Jane : I am from Canada and you?

Dave : I am from Sydney, Australia and what are you, Jane?

Jane : I am a student nurse

Dave : Great, I’m a staff nurse here

Jane : Well Dave, I have to go, nice to meet you

Dave : Nice to meet you too, Jane. See you later

Jane : Okay… see you, bye..

Note:

 Use a title with a full name or with a family name:


“Hello Mr. David Brian” or “Hello Mr. Brian” NOT “Hello Mr. Dave Brian” or
“Hello Mr. Dave”
 Use a full name, first name or short name without a title
“I am David Brian” or “I am Dave” NOT “I am Brian”

USEFUL EXPRESSION

Greeting

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COURSE BOOK B. INGGRIS II – PART 2

 Hello…/ Hi…
 Good Morning (until 1 mid.days)

Afternoon (until dark)

Evening (after dark)

 How do you do?


 How are you (today)?
Very well, thanks

Leaving

 Now, I need to visit other patients, see you


 I hope you get better soon, see you later
 Goodbye, Have a nice nap (when the patient’s going to have afternoon rest)
 Good night/ Sleep tight, Ma’am (when the patient is going to sleep in the night
 Pleased to meet you/ Nice to see you

Introducing oneself and initial nursing intervention

 I am…. (your name)/ My name is … (your name)


 Let me introduce myself
 I am Nurse …, I will take care of you today
 Hello, my name is Ns. … I’m in charge of you today
 If you need (anything/ help/ something/ assistance)
please just press the call button, a nurse will help you

Introducing other person (friends, co-workers)

 This is… (name)


 May I introduce you to… (name)
 Let me introduce you to + (name, my friend/sister/ partner, etc.)

Addressing Someone

 How can I address you?


 Is it “Miss or Mrs…”?
 May I address you with…?
 How should I call you?

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COURSE BOOK B. INGGRIS II – PART 2

Reponse:

 Please, address me with my first name/ Miss/…


 Call me…/ You can call me …
 You may address me…
 Why don’t you call me …

Study the conversation below!

Nurse Dina : Good morning, Sir?

Patient : Good morning, nurse.

Nurse Dina : I want to introduce you to Nurse David, he is a nurse in charge today because my
shift nurse will be over this morning.

Nurse David : How are you feeling today, Sir?

Patient : Not very well I think

Nurse David : Don’t worry, Sir. I will take care of you today.

Your name I written here “Mr. Kevin Adrian Smith Johnson”, how can I address you?

Patient : You may address me Mr. Johnson or you can just call me Kevin

Nurse David : All right Mr. Johnson, we’ll do our best for your better health condition. If you need
something, please just press the call button, me or other nurses will help you.

Patient : OK. Thank you, nurse.

Nurse David : Now, I need to visit other patients. See you later.

Patient : See you.

EXERCISE

Fill in the blank with suitable expressions!

Ns. Rosa : Hi, what’s your name? These will help you:

New Nurse : …………………….…………… a. Nice…


b. My name’s…
Ns. Rosa : I’m Rosa. I haven’t seen you before. c. I’m from…
d. Yes, I’m a new nurse here

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COURSE BOOK B. INGGRIS II – PART 2

New Nurse : …………………….…………… e. I’ve been in this country for…

Ns. Rosa : Where are you from?

New Nurse : …………………….……………

Ns. Rosa : How long have you been in this country?

New Nurse: …………………….……………

Ns. Rosa : Nice to meet you.

New Nurse : …………………….……………

8.2. HEALTH PROBLEMS IN HUMAN BODY

CONVERSATION

Patient : Excuse me, Nurse. Can you help me?

Nurse : What’s the problem, Sir?

Patient : I have pain in my stomach.

Nurse : Your stomach pains? Would you point at the location of your pain?

Patient : It’s in here, in the upper part of the abdomen.

Nurse : OK, I will report your condition to the doctor

Let’s consult to your doctor for sure

USEFUL EXPRESSION

Asking Response

 What’s the matter?  I have …

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COURSE BOOK B. INGGRIS II – PART 2

 What’s wrong with you?  I got …


 How do you feel today?  I feel …

Example useful expression in a short conversation

Ami : What’s the matter?

Betty : I have a headache.

Ami : Owh...that’s too bad.

Cathy : What’s wrong with you?

Deasy : I got a sore throat

Cathy : Oh...I’m sorry to hear that

Eric : How do you feel today?

Felix : I feel terrible, I have pain on my chest.

Eric : Really! Hopefully you fell better

COMMON QUESTIONS ABOUT HEALTH PROBLEM

Nurse:

What’s the problem?

How are you feeling today?

What makes you call me?

What’s your chief complaint?

What’s troubling you?

What’s the matter with you?

What’s wrong with you?

What seem to be bothering you?

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COURSE BOOK B. INGGRIS II – PART 2

Doctor:

What are the symptoms?

What is he complaining about?

COMMON RESPONSES FROM THE PATIENTS

I have + (a part of the body+ ache) I have + ( a sore+ parts of the body)

e.g. I have a toothache e.g. I have a sore throat

a headache a sore foot

a stomachache a sore arm

a backache a sore knee

I cut/ broke/ hurt my (possessive) + part of the body I sprained my (possessive)+ joint problem

e.g. I cut my finger e.g. I sprained my ankle

broke collarbone elbow

hurt leg knee

I experience+ kind of symptom/ physical problem I suffer from+ kind of certain illness

e.g. I experience lassitude e.g. I suffer from cancer

low back pain constipation

difficulty breathing vertigo

I have/ get+ kind of physical problem I feel + kind of physical problem

e.g. I have the measles e.g. I feel dizzy

get the flu sick

a cold cold and clammy

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COURSE BOOK B. INGGRIS II – PART 2

bloody vomit and stool unwell

a bowel movement in bad shape

a bad cough fever

EXERCISE

Look at this health problem. Find good advice for each health problem !

Problems Advice

A headache ___ 1. Take some aspirin

A toothace ___ 2. Go to bed and rest

A sore throat ___ 3. Drinks a lot of water

A cough ___ 4. Take some Vit.C

A backache ___ 5. Put some lotion on it

A fever ___ 6. Give taped water compress

A burn ___ 7. Close the mouth when coughing/ sneezing

___ 8. Don’t lift anything heavy

___ 9. Brush the teeth regularly

___ 10. See the Dentist

___ 11. Don’t exercise

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COURSE BOOK B. INGGRIS II – PART 2

9.1. CONVERSATION BETWEEN NURSE AND PATIENT

Please open the link video bellow, listen to the conversation on each video then share your opinions!

In that clips you will compare the way of the nurse communicate or interact with her patient, when focusing on
the therapeutic and interpersonal aspect or focusing on the clinical aspect.

Introduction to patient 1 Introduction to patient 2

https://www.youtube.com/watch?v=PoI_cJdtvoQ https://www.youtube.com/watch?v=p_0SeHl9qpQ

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COURSE BOOK B. INGGRIS II – PART 2

9.2. CHECKING VITAL SIGN


It is now common practice for nurses to communicate with patients as much as possible when they are
doing routine nursing task. If nurses talk, the patients become involved in their treatment. As a nurse
take the patient’s vital signs, it will be better a nurse says what she/ he is going to do, explains why she/
he is doing it and give the patient feedback.

USEFUL EXPRESSION

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COURSE BOOK B. INGGRIS II – PART 2

1. Explaining the procedures

 It’s time for me to… measure your blood pressure


 I just want to… count your pulse
 I would like to… check your respiration
 I am going to… measure your temperature
put this cuff (around your upper arm)
insert this (thermometer) into your armpit

2. Instruction and expression during the implementation

 Would you… lie down on the couch


 Would you mind…(verb– ing) lie flat on the bed
 Please,… roll your sleeve up
 Now, I want you to… give me your right/ left hand
slip off your top things (buka baju)
unbutton your shirt (buka kancing baju)
roll yourself into side lying position
take a deep breath
breathe in… breathe out…
to put this (thermometer) into our mouth

3. Nurse Response 4. Patient’s Response

 OK, Fine. That’s it  Yes, please


 Fine/ good  Okay nurse
 All is done/ Finished  No problem

VOCABULARY
Pulse rate : jumlah denyutan
Tension or compressibility : ketegangan
Beats per minute : denyutan per menit
Expiration-breathing out : hembuskan nafas
Inspiration-breathing in : tarik nafas
Patient’ chart : lembar (penilaian) pasien
Normal pulse rhythm : irama denyutan normal
Rhythm or regularity : irama denyutan/ cepat-lambat

EXERCISE 1. Translate into communicative English!

1. Pak, sekarang saya mau mengukur tekanan darah anda.


2. Silahkan berbaring di tempat tidur itu.
3. Sekarang saya mau masukkan thermometer ini ke ketiak ibu, tolong angkat tangan ibu.
4. Silahkan buka bajunya, saya ingin mengecek pernafasan anda..tarik nafas dalam-dalam, lepaskan
nafas…tarik nafas…lepaskan…
5. Tolong ulurkan lengan kiri Anda, saya akan menghitung denyut nadi.

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COURSE BOOK B. INGGRIS II – PART 2

CONVERSATION PRACTICE
Situation: A nurse comes to Mr. Jack’s room to take his vital signs

Nurse : Good morning Mr. Jack After the nurse pump the bulb to inflate the cuff
Mr. J : Good morning too, nurse then she puts stethoscope over brachialis artery
Nurse : How are you doing now, Sir? and listens the sound of artery from beginning to
Mr. J : I am feeling terrible ending, after she gets the result of B/P, she
Nurse : Terrible! What’s going on with you? release the cuff then puts it back onto trolley
Mr. J : I have pain on my head Nurse : Well Mr. Jack, I am going to check
Nurse : I see, do you have any else complaint, Sir? your temperature now?
Mr. J : And a little stiff on my leg Mr. J : Okay
Nurse : Okay Mr. Jack, let me check your blood Nurse : Could you raise your arm because I’ll
pressure and your temperature first? put this thermometer on your armpit?
Mr. J : Yes, please Mr. J : Like this nurse?
Nurse : Would you mind lying down on the bed Nurse : Yes, thanks (then the nurse puts it at
please? his armpit) and now place your left
Mr. J : No problem hand on your shoulder for a moment?
Nurse : Can I have your arm, Mr. Jack? Mr. J : With my pleasure.
Mr. J : Here it is. Nurse : Very good
Nurse : Good… will you roll your sleeve up, After 5 minutes, she takes thermometer back
please? from Mr. Jack’s armpit.
Mr. J : Yes Nurse : Well Mr. Jack, your blood pressure is
Nurse : Good, now, I want to put this cuff around high enough; it’s about 160/90 mmHg
your upper arm then I’ll search your pulse and temperature 37.5 0C, pulse 88
on your inner of lower arm bpm, Rr: 20x/m, I will report to Dr.
Mr. J : Okay Frank about your complaints. I’ll be
Nurse : Now, I am going to pump this bulb to inflate back in a few minute.
the cuff, maybe you will have tingling on Mr. J : Thank you very much nurse
your finger for a while but it’s okay. Nurse : You’re welcome
Mr. J : I see

Now Read This:


The normal temperature of a healthy adult ranges from 37 0C to 37,20C
A temperature of 360C is below normal
A temperature of 380C is above normal
The normal pulse rate of an adult at rest ranges from 72 to 80 beats per minute
72 beats per minute is the maximum normal pulse rate
80 beats per minute is the maximum normal pulse rate

EXERCISE 2. Now complete these sentences:


a) the most suitable temperature for a patient’s room … 20 0C to 23,30C
b) A … of 370C is normal
c) A pulse rate of 100 beats per minute for an adult at rest is …
d) … blood pressure in a young adult is about 120/80 mm/Hg
e) A pulse rate of 65 beats per minute is …

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COURSE BOOK B. INGGRIS II – PART 2

10.1. UNDERSTANDING THE MEASUREMENT


USING FAHRENHEIT AND CENTIGRADE (CELSIUS) THERMOMETERS

USEFUL EXPRESSION

Starting an intervention Telling a measurement

I need to take your temperature * It’s 370 C (thirty seven degree centigrade/ Celsius)

I am going to measure your height * You are running a temperature

I would like to count your pulse * You have a temperature (mean the temperature is
higher than normal because of an illness)
I just want to weight you
* You weigh 67 kilo.
Please weigh yourself on that scale
* You are 170 cm tall
Asking a measurement
* It is …… over…… (telling blood pressure)
What is my temperature?
* It is within normal limit
blood pressure?

pulse?

height?

How much do I weigh?

Is it normal

MEASUREMENT

Some countries they use Fahrenheit in measuring temperature but others centigrade or Celsius. In
Indonesia people are more familiar with Celsius thermometer than Fahrenheit. It is necessary for the
nurse to be familiar with both the centigrade and the Fahrenheit scale.

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COURSE BOOK B. INGGRIS II – PART 2

THE FORMULA TO CONVERT Fahrenheit and Centigrade (Celsius)


thermometers look a like
Fahrenheit to Centigrade temperature
 Both are made of same-sized tube
(Fahrenheit - 32) x 5/9 = Centigrade/ Celsius containing mercury
 The column of mercury in each
thermometer rises to the same height
when placed in a beaker of freezing
water and to the same height in boiling
Example: Change 2120F to 0C water
 The centigrade and Fahrenheit
2120 - 32 = 180 thermometer differ from each other in
the way they are graduated (graduated
180 x 5/9 = 900/9 = 1000 C  scale: pembagian skala)
Centigrade to Fahrenheit temperature

(Centigrade x 9/5 )+32 = Fahrenheit

Example: Change 1000C to 0F

1000 x 9/5 = 900/5 = 180

180 + 32 = 2120 F

TYPES OF THERMOMETERS

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COURSE BOOK B. INGGRIS II – PART 2

VOCABULARY

Celsius : Ukuran Suhu tubuh 370 (00-1000)

Fahrenheit : Ukuran Suhu tubuh 98.60 (320-2120)

Formula : Rumus

Scale : Skala, Timbangan

Convert : merubah

Equivalent : setara

Freezing point : titik beku

Boiling point : titik didih

EXERCISE 1

Match the Fahrenheit and equivalent with Celsius temperatures!

A : What is … degree Fahrenheit?

B : It’s … degree Celsius

a. Ninety __ Nineteen
b. One hundred and four __ Twenty two
c. Seventy two __ Ten
d. Three __ Thirty
e. Fifty __ Thirty two
f. Eighty six __ Forty
g. Sixty six __ Sixteen below zero

EXERCISE 2

Convert the following temperature and report the result!

Example:

2120F = 1000C

“two hundreds and twelve degree Fahrenheit equals a hundred degree Celsius (or centigrade)

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COURSE BOOK B. INGGRIS II – PART 2

1. 98.60 F = …… 0
C
2. 102.40 F = …… 0
C
3. 95.20 F = …… 0
C
4. 370 C = …… 0
F
5. 350 C = …… 0
F
6. 410 C = …… 0
F

10.2. PRAKTEK SIMULASI PELAYANAN KESEHATAN

(ESTABLISHING RELATIONSHIP WITH PATIENT)

SAMPLE CONVERSATION

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COURSE BOOK B. INGGRIS II – PART 2

Nurse Dina : Good morning, Sir?

Patient : Good morning, nurse.

Nurse Dina : I want to introduce you to Nurse David, he is a nurse in charge today because my
shift nurse will be over this morning.

Nurse David : How are you feeling today, Sir?

Patient : Not very well I think

Nurse David : Don’t worry, Sir. I will take care of you today.

Your name I written here “Mr. Kevin Adrian Smith Johnson”, how can I address you?

Patient : You may address me Mr. Johnson or you can just call me Kevin

Nurse David : All right Mr. Johnson, we’ll do our best for your better health condition. If you need
something, please just press the call button, me or other nurses will help you.

Patient : OK. Thank you, nurse.

Nurse David : Now, I need to visit other patients. See you later.

Patient : See you.

11.1. PRAKTEK SIMULASI PELAYANAN KESEHATAN

(CHECKING VITAL SIGN)

SAMPLE CONVERSATION

Situation: A nurse comes to Mr. Jack’s room to take his vital signs

Nurse :
Good morning Mr. Jack After the nurse pump the bulb to inflate the cuff
Mr. J :
Good morning too, nurse then she puts stethoscope over brachialis artery
Nurse :
How are you doing now, Sir? and listens the sound of artery from beginning to
Mr. J :
I am feeling terrible ending, after she gets the result of B/P, she
Nurse :
Terrible! What’s going on with you? release the cuff then puts it back onto trolley
Mr. J :
I have pain on my head Nurse : Well Mr. Jack, I am going to check your
Nurse :
I see, do you have any else complaint, Sir? temperature now?
Mr. J :
And a little stiff on my leg Mr. J : Okay
Nurse :
Okay Mr. Jack, let me check your blood Nurse : Could you raise your arm because I’ll
pressure and your temperature first? put this thermometer on your armpit?
Mr. J : Yes, please Mr. J : Like this nurse?

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COURSE BOOK B. INGGRIS II – PART 2

Nurse : Would you mind lying down on the bed Nurse : Yes, thanks (then the nurse puts it at
please? his armpit) and now place your left hand on your
Mr. J : No problem shoulder for a moment?
Nurse : Can I have your arm, Mr. Jack? Mr. J : With my pleasure.
Mr. J : Here it is. Nurse : Very good
Nurse : Good… will you roll your sleeve up, please? After 5 minutes, she takes thermometer back
Mr. J : Yes from Mr. Jack’s armpit.
Nurse : Good, now, I want to put this cuff around your Nurse : Well Mr. Jack, your blood pressure is
upper arm then I’ll search your pulse on your high enough; it’s about 160/90 mmHg and
inner of lower arm temperature 37.5 0C, pulse 88 bpm, Rr: 20x/m, I
Mr. J : Okay will report to Dr. Frank about your complaints. I’ll
Nurse : Now, I am going to pump this bulb to inflate be back in a few minute.
the cuff, maybe you will have tingling on your Mr. J : Thank you very much nurse
finger for a while but it’s okay. Nurse : You’re welcome
Mr. J : I see

11.2. EXPLAINING MEDICATION


o Medicine: A substance which can cure or prevent a disease, replace vital substance that the body
lacks or relieve symptoms. It is especially in the form of liquid that you drink to cure an illness.
o Drug: A substance used for minor complaints which generally have obvious benefits and negligible
risk; otherwise, most of us would prefer to put up with the complaint. For more serious diseases,
more powerful drugs are required and the risk of adverse reaction is usually higher.

TO CONCLUDE = > ALL MEDICINES ARE DRUGS, WHEREAS NOT ALL DRUGS ARE MEDICINE

There are different ways of giving medication to the patients

1. Medication by inhalation
2. Medication by inunctions (by rubbing of ointment or oil into the skin)
3. Rectal medication ( a tablet or capsule)
4. Medication by dropper
5. Medication by injection (IV: Intravenous Injection, IM: Intramuscular Injection, Subcutaneous or
hypodermic Injection/ medication, Intra-cutaneous or intradermal injection/ medication)
6. Sublingual medication (a tablet is placed under a patient’s tongue until it dissolves)
7. Oral medication (by placing a tablet or capsule on patient’s tongue, then patient swallows the
medicine following a drink of water)

Where do you find medicine?


Pharmacy : 1. a shop/ store that sells medicines and drugs
2. a place in a hospital where medicines are prepared
Drugstore : a shop/ store that sells medicines and also other types of goods, for example:
cosmetics/ toiletries
Dispensary : a place in a hospital, shop/ store, etc. where medicine are prepared for patients

The following abbreviations are commonly used by doctors when they prescribe drugs:

b.i.d : twice a day 1/5 : one fifth/ one over five

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COURSE BOOK B. INGGRIS II – PART 2

t.i.d : three times a day 7/12 : seven twelfth/ seven over twelve
q.i.d : four times a day 0.60 : zero point sixty
p.r.n : when necessary tab : tablets
2 hrly : once every two hours caps : capsules
4 hrly : once every four hours + : add/ plus/ and
a.c : before meals/ on an empty stomach - : minus/ subtract
p.c : after meals/ after food X : times/ multiply
p.o : orally (through the mouth) : : divided
3 x 1 : three times a day = : equal/ same with
3 x 250 mg : three two hundred and fifty milligrams BP : Blood Pressure
120/60 : one hundred and twenty over sixty TPR : Temperature/ Pulse/ Respiration
20x/m : twenty times per minutes (respiration rate) MAR : Medication Administration Record

EXERCISE 1. Answer the questions based on the INSTRUCTION LABEL “EYEDROPS”


instruction label! For soothing and cleansing eyes.
Squeeze 2 or more drops into each eye as
1. What is the purpose of the medicine? needed. Replace cap. 
2. How to use the medicine? Do not touch dropper tip to any surface
3. Is there any caution on the label? If there’s any,
mention it!

VOCABULARY
 Prescription : resep dokter
 Receipt : tanda terima
 to relieve : untuk meredakan (sakit)
 to shake : kocok (mengocok)
 one spoonful : satu sendok makan/ takar
 indigestion : salah cerna/ ketidaksanggupan mencerna
 adverse reaction : kontra indikasi/ reaksi penolakan (tubuh) terhadap suatu obat
 Capsule : a small container which has a measured amount of medicine inside and which
dissolves when you swallow it.
 Pill : a small flat round piece of medicine (syn. tablet) that you swallow without
chewing it.
 Ampoule : a small container usually made of glass containing a drug that will be used for
an injection.

USEFUL EXPRESSION

Patient expression related to medication Giving caution


 How should I take this…  Just tell me if there’s something you don’t
 What is the use of this… (tablet, medicine, capsule)? understand and I’ll go over it all
(menanyakan kegunaan obat)  You must call the nurse if there is an
 How to use these…(tablets)? (menanyakan dosis) adverse reaction
Oral medication  Don’t take this more than… (three times/ 8
 Please take this… (one tablet per day/ one tablet tablets in 24hours)
every 8 hours)  Don’t use it if it makes…(a skin rash)

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COURSE BOOK B. INGGRIS II – PART 2

syrup one spoonful… (three times a day)  Don’t continue if an adverse reaction
to reduce…(your temperature) occurs
to relieve…+ your (physical problem. e.g. pain,  Take these antibiotics all up
running nose, cold, etc )  In case (the tablets) give you
 Here are some tablets/ pills (which) you are to take indigestion /make you suffer from
…(one) of every…(eight) hours indigestion, please…, please…(take them
 Have you taken the medicine? during/ after meals)

Now Read This:


When you give a dose in tablet form, you must make up the weight on the prescription from the
smallest number of tablets possible. Example: You must give 1 gram of Sulfasuxidine. The tablets are
labeled 250mg. How many tablets you must give? The answer is 4 tablets.

EXERCISE 2.
a) You must give 0,5 gram of aspirin. You have 2x250mg tablets and 10x50mg tablets. Which do you
give?
b) You must order medicine for the prescription Penicillin 20ml b.d. x 3 days. How many ml of
penicillin will you need for the three days?
c) You must give 5mg of a drug for every 1kg of a patient’s body weight. He weight 65kg. How many
mg do you give?
d) A capsule contains 200mg of a drug. How many gram the drug are there in 10 capsule?
e) You must give one tablet q.ds. How many do you give in three days?

12.1. ADMISSION TO HOSPITAL

Admission is the act or process of accepting someone into a hospital, clinic, or other treatment facility
as an inpatient. While Admission form/card/ note is part of a medical record that documents the
patient's status (including history and physical examination findings), reasons why the patient is being
admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care.

A nurse needs to ask several questions to fill in the admission form.

There are three basic question types:

 Yes/No: the answer is "yes or no"


 Question-word: the answer is "information"
 Choice: the answer is "in the question"

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COURSE BOOK B. INGGRIS II – PART 2

ADMISSION FORM

Hospital Reg. No. Unit Adm. Date Adm. Time

Complete Name First Name Family Name ID. No.

Age (DOB/POB) Sex Religion Marital Status Occupation

[__] M [__] F [M/ S/ W/ Wr]

Transport Mode [__] WC [__] Walking [__] Stretchers [__] Other

Oriented to Environment [__] Yes [__] No

Permanent Address

ZIP Code Phone No.

Name& Address of Next Kin

ZIP Code. Phone No.


Relationship :

Allergies [__] Food [__] Meds/ Other

Admitting Vital Sign Temp Pulse Respiration B/ P Weight/ Height

HEALTH HISTORY

Current Medication Last Dose Cardiac Medication Last Dose

1. .......................................... ................................ ......................................................... ............................


2. .......................................... ............................... ........................................................ ............................
3. ........................................... ………………......… …………………………….........…… ............................

PAST MEDICAL & SURGICAL HISTORY Complete By Date

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COURSE BOOK B. INGGRIS II – PART 2

USEFUL EXPRESSION

Here are several useful expression/questionnaires that might be asked to the patient or patient’s family
to fill in Admission Form

 Complete Name/ Surname  Age (Date of Birth/ Place of Birth)


- What is your complete name? - Where/ when were you born?
- What’s your surname? - Your date of birth, please?
- How do you spell it?
 Occupation
 First Name/ Family Name - What’s your occupation?
- What is your first name? - What’s your father occupation?
- What is your family name?
 Address & Telephone No.
 ID No. - Where’s your address?
- May I know your ID number? - Where do you live?
- May I have your ID number? - Your phone number, please
- May I borrow your ID card?
 Next of Kin
 Marital Status - Who’s your nearest relative?
- Are you married? - Who’s your next of kin?
- Are you single? - Is there any contact person in emergency
case/ situation?
 Religion
- What’s your religion?

Note: In some states, it’s not appropriate to ask this question. It’s necessary to follow the custom

EXERCISE

Now, fill the admission form based on the conversation below!

Mr. Smith : Excuse me, is this emergency room?


Nurse : Yes, this is emergency room.
S : Well I’m Smith Johnson, I got information that my daughter just got an accident and she was sent
to this hospital.
N : Let me check the list first, Sir and what is your daughter name?
S : Her name is Jane Johnson.
N : That’s right Mr. Smith, would you come in and have a seat, please!
S : Thanks a lot, Nurse!

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N : Well, Mr. Smith, we have to fill in an admission form first.


S : All right, Nurse!
N : Good, now your daughter complete name is Jane Johnson, can you spell her first name?
S : J-A-N-E and Her last name is J-O-H-N-S-O-N
N : What is her religion?
S : Islam, she is a Moslem.
N : Is she married?
S : No, she is not.
N : And what is she?
S : She is a student.
N : Then when and where was she born?
S : She was born in Sidney on June 13th 2003.
N : Now, where does she live?
S : She lives with us at Cadbury Street No.01. West Rock, Canada.
N : Do you have phone number, Sir?
S : Yes, sure, my phone number is 0765-84995231

N : It says here ‘Name and Address of Next Kin’ who is her nearest relation in this town that we can
contact in emergency situation?

S :
Me and my wife, you can contact me or her if there is something about my daughter
N :
Do you live at the same address, Sir?
S :
Yes, you right.
N :
Okay, is she allergic about something, such as food or drug, Sir?
S :
Yes, my daughter has an allergic to penicillin and shrimp.
N :
Has she ever suffered from any disease before?
S :
Yes she has, she ever has suffered a pharingitis for 4 days.
N :
Did you bring her medicine from previous doctor, Mr. Smith?
S :
Yes.
N :
May I see those medicines, Sir?
S :
Here they are (Amoxil 3x500mgs, FG Throches 2x1 tab, Panadol 3x500mgs)
N :
Thanks and when did she take these medicines?
S :
This morning, Nurse?
N :
What about cardiac medicines, did she have it, Sir?
S :
No, she hasn’t it.
N :
And now, last question, do you know her body weight and height, Sir?
S :
If I’m not mistaken, her weight is 45 kg & height 165 cm
N :
All right Mr. Smith, I’ll record that. Well I think is enough for the data, if you would like to wait here
for a moment, I will call Dr. Scoot who treat your daughter, to explain you about her condition.
S : Thanks a lot Nurse.

N : No Problem.

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12.2. REINFORCING DIETARY PROGRAM


Dietician is the right consultant to decide what kind of diet a patient should go with. A nurse in charge
has to confirm that the diet program is applied to the patient as scheduled. The nurse has to
communicate the diet program to the patient regularly. The aim of the communication is to reinforce the
program, so that the patient can cope with the program.

NOTES ON DIFFERENT HOSPITAL DIETS


1. A full diet: (or normal diet) where the patient can choose his food for each meal from the menu
2. A light diet: (or soft diet) contain very little fiber and food which is easily digested. i.e. foods made
from refined flour and not including whole grains or seeds
3. A free liquid diet: (or fluid only diet) includes all liquid foods such as soup (strained, creamed or
pureed), drink and cooked refined cereals such as ‘porridge/ gruel’, plain ice-cream, sorbet and
semi-liquid dessert made with milk or gelatin.
4. A clear liquid diet: includes only water, flavored or plain water ice, strained fruit juices, vegetable
water, clear soup and different varieties of tea or coffee without milk
(Taken from English for Nursing and Healthcare, by Robin A. Bradley, page 168)
e.g. - a patient on a liquid diet is not allowed to eat solid food
- a diabetic isn’t allowed to have sugar in his tea or coffee
- personal allergies must be written on the patient’s case notes and the dietician must be
notified

USEFUL EXPRESSION
 Offering food

- What would you like to have for your … breakfast


- What do you like for your … lunch
- What (do/ will) you have for … dinner
- Do you like (certain food) … for your … supper

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 Assessment

Are you allergic to … (a certain kind of food)?

 Explaining a Dietary Program

- Now, I want to … explain the dietary food that is good for your health
- I am going to … recommend a dietary program

 Recommending a Diet

- OK you have to go on …
a dietary program
the recommended dietary program
- …………………is/ are good for your health
Fruit
Consuming vegetables
Drinking a lot of water
- You’d better/ You may consume…
more calories/ fruit/ carbohydrate/ green leafy vegetables
a little bit

 Prohibition

- You are prohibited to drink/ to eat… (a certain kind of food or drink)


- You have to/ should avoid …
- to restrict yourself to drink/ to eat

 Telling Doctor’s Diagnosis


Well according to (doctor’s report/ your physician/ doctor’s note) you have a problem with your …
(stomach/ digestion/ cholesterol/ liver/ blood sugar, etc.)

 Rationale (if patient asks)

- It … contains too much (fat, carbohydrate, etc.)


- Consuming excessive + … (certain kind of food: sweet, rice, etc.

will worsen your condition


aggravate your … (health problem)
increase the cholesterol/ blood sugar, etc.

 Patient Expression
Can I…/ May I…
consume + (a certain kind of food or drink)
order another menu?
borrow … (the dishes)?
have …
a … juice?/ menu list?/ more rice?/ more hot water?, etc.

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COURSE BOOK B. INGGRIS II – PART 2

Nurse Response: Sure/ Certainly (more formal)

 Other Expression
- Did you enjoy your meal?
- Why don’t you eat your food?
- Can I take the dishes now?
- Have a nice meal/ Enjoy your meal When can I start … (drinking/ having a meal)?
- Do you have any problem with your meal?
- Is he portion (we provide) enough for you?
- Don’t take anything to eat before the anesthetic wears off
- You have to wait until the anesthetic has worn off (hilang pengaruhnya) before you eat anything

EXERCISE
Translate these sentences into communicative English
1. Pak, anda mengalami masalah lambung (gastric problem), anda diminta menghindari makanan
yang asam
2. Saya akan menjelaskan program diet yang sesuai dengan kebutuhan anda
3. Apakah porsi makanannya cukup untuk ibu?
4. Apakah bapak mengalami masalah makan?
5. Apakah anda alergi terhadap makanan laut?
6. Ini daftar pilihan menu, silahkan pilih untuk sarapan anda besok
7. Dokter mendiagnosis anda mengalami diabetes elitus, saya menyarankan bapak banyak
mengkonsumsi sayuran hijau
8. Anda harus membatasi diri dalam mengkonsumsi minuman berkarbonasi
9. Maaf, makanan itu mengandung terlalu banyak lemak, anda harus menghindari memakannya.
10. Anda belum boleh mengkonsumsi apapun. Tunggu dulu sampai pengaruh obat biusnya hilang.

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